Portugal

Prt1

Available programmes:

  1. Eating disorders and Family Therapy (OPORTO, São João)
  2. Liaison Psychiatry (OPORTO, São João)
  3. Bordeline personality disorder – intervention program (OPORTO, São João)
  4. Electroconvulsive Therapy (OPORTO, Magalhães Lemos)
  5. Community Psychiatry Unit (LISBON, Fernando Fonseca)
  6. Acute Inpatient Psychiatry Unit + Electroconvulsive Therapy (LISBOA, Fernando Fonseca)
  7. Partial Hospitalization Unit (LISBON, Fernando Fonseca)
  8. Consultation and Liaison Psychiatry Unit (LISBON, Fernando Fonseca)
  9. Acute inpatient Units (LISBON, CHPL)
  10. Electroconvulsive Therapy unit (LISBON, CHPL)
  11. Day Hospital (LISBON, CHPL)
  12. Forensic Psychiatry (LISBON, CHPL)
  13. Rehabilitation (with chronic patients) (LISBON, CHPL)
  14. Consultation of Bipolar Disorder (SANTAREM)

See detailed description of the programmes below!

 

PORTO

CENTRO HOSPITALAR DE SÃO JOÃO

Prt2

The São João’s Hospital (Hospital São João) is the biggest hospital of the North of Portugal. It is a General Hospital with a Department of Psychiatry. And it is also a University Hospital that works side by side with the Faculty of Medicine of Oporto.

Unit / hospital: Inpatient Unit, Outpatient Unit / Centro Hospitalar São João

Address, website:

Alameda Prof. Hernâni Monteiro, 4200 – 319 Porto, Portugal.

http://www.hsjoao.min-saude.pt

Length: 2 – 4 weeks

Periods available: All year round

Requirements: language – basic Portuguese

1. Eating disorders and Family Therapy

In this programme the aims are:

EATING DISORDERS

  • Theoretical explanation on the therapeutic model of the ED Unit (1/2 day)
  • Attending consultation/ Family Therapy of ED patients (2×1/2 day)
  • Acquiring Knowledge about clinical cases on inpatient treatment (2×1/2 day)
  • Group Therapy: attending 2 sessions in a week (2x2hours)20
  • Clinical cases presentation (1/2 day)
  • Attending the multidisciplinary weekly team meeting (doctors, psychologists, social workers)

FAMILY THERAPY

  • Theoretical explanation on Family Therapy and Systemic Intervention (1/2 day).
  • How to deal with inter-institutional relations (Mental Health, Court, Social Services).
  • Clinical cases presentation of psychosocial problems (2×1/2 day).
  • Attending family therapy sessions (10h/week)

2. Liaison Psychiatry

In this programme the aims are:

  • Liaison Psychiatry ambulatory clinics (10 hours/per week)
  • Liaison Psychiatry (hospitalized patients – all medical and surgical Units, except for Psychiatry)
  • Smoking cessation ambulatory clinics (5 hours/per week) ;
  • Chronic pain with Psychiatry ambulatory clinics (5 hours/per week) and Scientific meeting (once per week)

3. Borderline Personality Disorder – intervention program

 

HOSPITAL DE MAGALHÃES LEMOS

Prt3

The Hospital of Magalhães Lemos is a Psychiatric Hospital that provides mental health and psychiatric care to the population of the North of Portugal. The ECT Unit was established in 2006 with the aim to do ECT to patients in the ward, in some cases to out-patients and in few cases as a maintenance treatment.

Unit : Hospital de Magalhães Lemos, ECT team

Address, website:

Rua Professor Álvaro Rodrigues, 4149-003 Porto, Portugal

http://www.hmlemos.min-saude.pt/

Length: 2 – 6 weeks

Periods available: All year round

Requirements: language – basic English

4. Electroconvulsive Therapy

The unit does ECT 3 times a week (Monday, Wednsday and Friday) in a mean of 4-6 patients each day, between 8:30 – 10:30, using a MECTA Spectrum 5000Q device.

ECT is a treatment for severe psychiatric illnesses. Present ECT techniques use sedation, muscle paralysis, ventilation with oxygen, and brief-pulse electrical stimuli that virtually eliminate the past risk of fracture and minimize transient cognitive dysfunctions. The mortality rate (about 2 deaths per 100 000 treatments) is less than that reported for normal childbirth and is associated with the anesthesia risks.

Although the effect of ECT on memory emerges in public discussions, previous research clearly demonstrates the circumscribed and mostly transient nature of the cognitive effects of ECT.

Despite its well-documented efficacy and safety, ECT is widely stigmatized as a last-resort treatment. The high incidence of chronicity and recurrence in severe psychiatric illnesses should encourage greater attention to improvements in ECT practice and to studies of its mechanism of action.

Unfortunately, the lack of experience with ECT during residency training and the failure to require such experience for specialty certification limits the ability of clinical psychiatrists to recognize patients for whom ECT may offer effective relief.

LISBOA

HOSPITAL PROF. DOUTOR FERNANDO FONSECA (AMADORA/SINTRA)

Prt4

The Hospital Prof. Doutor Fernando Fonseca is a General Hospital, integrated in the National Health Service, responsible for providing health care to a social and culturally diverse population of 600,000 people. The department of psychiatry, opened in 1996, was one of the first community-based psychiatric departments to be created in Portugal. The clinical activity is developed by multidisciplinary teams, both in the general hospital and in community mental health centers located throughout our catchment area, alongside General Practitioners and Public Health teams. This organization enables the proximity with several community structures, facilitates the access of patients to the outpatient consultations and the outreach of Community Mental Health Teams. The department also takes part in pre and postgraduate training of medical students and psychiatry trainees

City: Amadora, Lisboa

Unit / hospital: Department of Psychiatry, Hospital Prof. Doutor Fernando Fonseca, E.P.E

Address, website:
IC 19, 2720-276 Amadora, Portugal
www.hff.min-saude.pt/‎

Length: 2 – 4 weeks.

Periods available: January to July and September to December

Requirements: language – basic Portuguese

5. Community Psychiatry Unit (LISBON, Fernando Fonseca)
6. Acute Inpatient Psychiatry Unit + Electroconvulsive Therapy (LISBOA, Fernando Fonseca)
7. Partial Hospitalization Unit (LISBON, Fernando Fonseca)
8. Consultation and Liaison Psychiatry Unit (LISBON, Fernando Fonseca)

CENTRO HOSPITALAR PSIQUIÁTRICO DE LISBOA (H. JÚLIO DE MATOS)

Prt5

Centro Hospitalar Psiquiátrico de Lisboa (CHPL) is major public Psychiatric Hospital in Lisbon’s metropolitan area, which provides specialized care in Adult Mental Health and Psychiatry. It is one of the biggest psychiatric Units in Portugal providing care for around 800.0000 citizens. The institution is also deeply involved in medical training by working not only in close relation with the two Lisbon medical universities but also by providing training to Psychiatry, Neurology and GP residents.

The Hospital provides both inpatient and outpatient care. The inpatient services are divided into acute and long term wards. The acute wards are organized into six clinics specialized by mental health disorders that not only provide specialized inpatient care but some also have dedicated outpatient programs (clinic 1 – Stabilization and triage of acute patients and First Psychosis Unit; clinic 2 – Old Age Psychiatry; clinic 3 – Transcultural and General Psychiatry Unit; clinic 4 – Alcohol and Behavioural Addictions unit; clinic 5 – Mood disorders and Obsessive Compulsive Disorder Unit; clinic 6 – Schizophrenia and Schizoaffective Disorders Unit). The long term services are made up by the Psychosocial Rehabilitation units, the Residential units and the Forensic Psychiatry Unit;

There are also several outpatient community treatment units throughout the CHPL’s geographical area of influence. At our headquarters there are also specialized outpatient units: Sexology, Post-traumatic Stress Disorder.

City: Lisbon

Unit / hospital: Centro Hospitalar Psiquiátrico de Lisboa

Address, website:

Avenida do Brasil, Nº53

1749-002 Lisboa, Portugal

http://www.chpl.pt/

Length: 2 – 4 weeks

Periods available: July to December.

Requirements:

  1. Language: Basic understanding of the Portuguese language is advisable since all medical activities and lectures are given in Portuguese. Most staff members have basic English understanding.
  1. Proof of Medical Residency and permission from the trainee’s institution for leave of absence is required;
  2. Accommodation, transport and visa, is the visitors’ responsibility;

Available programs:

There are several opportunities for clinical observerships at CHPL for both inpatients and outpatients units.

As clinical observers, residents will be highly involved in all clinical and academic activities that happen at the institution. However:

  1. Since there are several specialized units the clinical observer should chose a primary area of interest and will be attached to this team but involvement with other teams can be arranged;
  2. You should keep in mind that that the start date in various clinical programs will have to be negotiated between the Clinical Observer and clinical program team, based on availability. It should be noted that many clinical programs at CHPL accept Psychiatry, Neurology and GP residents, and also students from various disciplines who will take precedence over observership requests as these placements are part of formal training programs. Given that each clinical program can only accommodate a limited number of Clinical Observers, at times there may not be any observership opportunities available.
  3. Clinical observers are allowed to be present while the consultant is interviewing the patient but patient consent is always required and respected. Keep in mind that patients are not obliged to accept the presence of a visitor during the interview.

9. Acute inpatient Units:

The Clinical observer is able to choose from one of the available inpatient units for a clinical observership:

  1. Stabilization and triage of acute patients and first psychosis unit;
  2. Old Age Psychiatry;
  3. Transcultural and General Psychiatry unit;
  4. Alcohol and Behavioural addictions unit;
  5. Mood disorders and obsessive compulsive disorder unit;
  6. Schizophrenia and Schizoaffective disorders unit;

10. Electroconvulsive Therapy unit

11. Day Hospital

– A medical facility, with a multidisciplinary team, which provides treatment and assessment, during the day, with patients returning home or to another institution at night. CHPL’s patients can be referred to this unit independently of the underlying psychiatric disorder and are accepted into the program after evaluation by the team.

12. Forensic Psychiatry

A specialized team in Forensic psychiatry. Develops its activity in two main areas: Psychiatric inpatient Unit (provides care for patients with mental health disorders that have committed illicit activities) and Forensic Psychiatric Medical examinations.

13. Psychosocial Rehabilitation unit

Specialized team focussed on rehabilitation of patients with several psychiatric disorders. This is a multidisciplinary work group that provides several levels of care/stimulation according to the patients’ needs and deficits. There are various types of residential systems and programs according to the patients’ levels of autonomy. The main goal of this unit is not only to prevent patients’ relapses but also to establish and recover life goals.

HOSPITAL DE SANTARÉM

Prt6

The Hospital of Santarem is a General Hospital with a Department of Psychiatry and Mental Health. It started its activity in 1985 with 240 beds. The Hospital currently has a capacity of 414 beds, of which 134 are assigned to the medical field, 160 to Surgery, 18 to Psychiatry and Mental Health, 85 to the Department of Women and Child and 6 to the Intensive Care Unit. The institution is also equipped with all major medical and surgical specialties, serving a population of approximately 200,000 inhabitants.

Unit:

Inpatient Unit, Outpatient Unit / Hospital de Santarém

Address, website:

Avenida Bernardo Santareno, 2005-177 Santarém

http://www.hds.min-saude.pt

Length: 2 – 6 weeks

Periods available: All year round

Requirements: language – fluent English and basic Portuguese

14. CONSULTATION OF BIPOLAR DISORDER 

In this programme the aims are:

  • Review of the diagnosis and treatment of bipolar disorder
  • Bipolar Disorder ambulatory clinics (3 days/ week)

Travel information

  • VISA needed: check with embassy
  • Travel and health insurance needed: Yes

Accommodation

  • With host: maybe(Oporto) / No (Amadora, Lisbon) / YES (Santarem)
  • Hospital residencies available: No
  • Hostels and Youth hostels: Yes
  • Affordable hotels: Yes

Useful websites

http://www.visitporto.travel/
http://microsites.juventude.gov.pt/Portal/pt/PLisboa.htm
http://www.lisbon-guide.info/accommodation/independent-youth-hostels
http://www.hoteis.pt/9456/Pousada-de-Juventude-Lisboa
www.cm-santarem.pt

https://www.visitportugal.com/en

Testimonials

Amina Nazaralieva (Russia) and the Psychiatry team of HSJ (PORTO):

“Thank you for being very helpful and caring, for sharing your experience, time and ideas. Portuguese people know how to enjoy life, Indeed. Special thanks to those who made my exchange programme unforgettable”

Andreea Cazacu (Romania) with the ECT Team (H. Magalhães Lemos – PORTO):

“Dr. Jorge Mota, who is the supervisor for this exchange program, has a vast experience in ECT treatment. He was really helpful in explaining and providing needed information.”

“This has also been a great opportunity to observe the psychiatric training system in Portugal and in the same time to get in contact with its trainees. They have been really helpful and friendly throughout my stay.”

This exchange program is a socio-cultural experience and I must confess one of the best in my entire live so fare. It is an impressive country that has a lot to offer and Porto is an incredible and unique town.”

“I truly recommend this exchange project. It is an extraordinary medical experience.”

Contact

National coordinator: Cátia Moreira

catia.a.a.moreira@gmail.com

Local coordinators:

Fábio Silva (gomesmonteirodasilva@gmail.com), Hospital Magalhães Lemos (Porto)

Marco Mota (mrmo86@hotmail.com), Hospital São João (Porto)

João da Cruz (joaodacruz.psi@hotmail.com), Hospital de Santarém (Santarém)

Guilherme Bastos (guilhermebmartins@gmail.com), Hospital Prof. Dr. Fernando Fonseca (Lisboa)

Gonçalo Sobreira (gfs.sobreira@gmail.com), Centro Hospitalar Psiquiátrico de Lisboa

National trainee organisation website:

http://www.apipsiquiatria.pt